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    OpenPayerNPI Medicare & MedicaidRaul Gonzalez
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    Raul Gonzalez — Billing Profile & Reimbursement Data

    NPI 1366503773 · Rome, GA · Internal Medicine Physician

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    Raul Gonzalez is a internal medicine physician provider located in Rome, Georgia. This profile covers 62 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRaul Gonzalez
    Address1825 Martha Berry Blvd Nw
    CityRome
    StateGA
    ZIP30165
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 12, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$290.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    62 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,210$80$92.8K
    A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries20$2,090$48K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.110$150$16.7K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…50$200$9.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…130$70$9.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…160$60$9.1K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.40$170$6.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.820$10$6.5K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…400$20$6.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.640$10$6.3K

    Showing 1–10 of 62

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 62 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    62 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A958421070$2,170$154.1K
    9921418913,640120$80$17.8K
    G04392,4552,90070$120$12.4K
    8444397590130$20$10.6K
    87086289040$10$10.3K
    8230639347060$30$10K
    80061109640160$10$9.9K
    74177296650100$70$9.7K
    80053111770190$10$9.7K
    87186316020$10$9.4K

    Showing 1–10 of 62

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Raul Gonzalez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dimple ModiGARetina Specialist (Ophthalmology) Physician$2.7M$0
    Gregory HarrisGAHematology & Oncology Physician$2M$0
    Melissa DillmonGAHematology & Oncology Physician$2M$0
    Dilawar KhanGAHematology & Oncology Physician$1.9M$0
    Jeffrey PellerGARheumatology Physician$1.1M$0
    Harbin Clinic, LLCGAAmbulatory Surgical Clinic/Center$754.6K$0
    Matthew MumberGARadiation Oncology Physician$636.9K$0
    Rahul GargGACardiovascular Disease Physician$605K$0
    John AbdouGARadiation Oncology Physician$601.9K$0
    Charles BaggettGACardiovascular Disease Physician$470.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Raul Gonzalez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr. Miniyars Pediatrics, P.C.GAPediatrics Physician$0$18.8M
    Floyd Physicians, LLCGANeonatal-Perinatal Medicine Physician$0$2.6M
    Ear,nose,& Throat Of Northwest GeorgiaGAOtolaryngology Physician$0$2M
    Amtran Medical Transport IncGALand Ambulance$1.8M$1.7K
    Floyd Healthcare Management IncGAFamily Medicine Physician$0$1.3M
    Travis WhiteheadGAEmergency Medicine Physician$70.8K$702.1K
    Kathrine WhiteheadGAEmergency Medicine Physician$59.8K$626.1K
    Surgery Center Of Rome, LPGAAmbulatory Surgical Clinic/Center$681.8K$0
    Jason SmithGAProcedural Dermatology Physician$445K$0
    Scott McdanielGAProfessional Counselor$0$423.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Raul Gonzalez — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia